2005, 07-18 Permit App: 05002410 ResidenceProject Number: 05002410 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/18/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 32.5 Left: 10 Right: 6 Rear: 43
Site Information:
Plat Key:
Name:
Contact: LANCZE G DOUGLASS, INC.
Address: 1402 E MAGNESIUM RD
C - S - Z: SPOKANE, WA 99217
Phone: (509) 483-6532
Group Name:
Project Name: ROW
SUMMERFIELD EAST 06TH ADD District: East
Parcel Number: 46353.4902
Block: 28
SiteAddress: 14503 E CROWN AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,187 Sq Ft
Nbr of Bldgs: 1
Review Information:
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 1
Lot: 2
Owner: Name: LANCZE G DOUGLASS, INC.
Address: 1402 E MAGNESIUM RD
SPOKANE, WA 99217
Hold: ❑
Depth: 0 Right Of Way (ft): 45
Review
Site Plan Review
Released By:
Plan Review
Released By:
Approach / Drainage
Released By:
Sewer Review
Permits:
Released By:
Pr
0Av DS- q
Operator: K_C
Printed By: K_C
Print Date: 07/18/2005
Project Number: 05002410 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/18/2005 Page 2 of 4
Approach
Contractor: LANZCE G DOUGLASS, INC Firm: LANCZE G DOUGLASS, INC
Address: 1402 E MAGNESIUM Phone: (509) 483-6532
SPOKANE, WA 99217
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Contractor: LANZCE G DOUGLASS, INC Firm: LANCZE G DOUGLASS, INC
Address: 1402 E MAGNESIUM Phone: (509) 483-6532
SPOKANE, WA 99217
Building Characteristics
Group: R-3 Type: VB
Total Area 2600
Building Height 19
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp km Notes Sq Ft Valuation Su Ft Valuation
BASEMENT U R-3 VB 1,300 $19,500.00 1,300 $19,500.00
DECK R-3 VB 120 $1,800.00 120 $1,800.00
GARAGE U-1 VB 696 $13,224.00 696 $13,224.00
RESIDENCE R-3 VB 1,300 $97,084.00 1,300 $97,084.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 3,416 $131,608.00 3,416 $131,608.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,172.95
$4.50
$469.18
Permit Total Fees: $1,646.63
Operator: K_C Printed By: K_C Print Date: 07/18/2005
Project Number: 05002410 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/18/2005 Page 3 of 4
Contractor: LANZCE G DOUGLASS, INC
Address: 1402 E MAGNESIUM
SPOKANE, WA 99217
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: LANZCE G DOUGLASS, INC
Address: 1402 E MAGNESIUM
SPOKANE, WA 99217
Item Description
TOILETSBIDETS
SINKS
SHOWERS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Mechanical Permit
Units
Firm: LANCZE G DOUGLASS, INC
Phone: (509) 483-6532
Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Units
3
4
3
1
1
1
1
1
3
Operator: K_C Printed By: K_C
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$95.00
Firm: LANCZE G DOUGLASS, INC
Phone: (509) 483-6532
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$18.00
$24.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$108.00
07/18/2005
Project Number: 05002410
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/18/2005
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,646.63
$95.00
$108.00
Invoice Amount
$50.00
$1,646.63
$95.00
$108.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,646.63
$95.00
$108.00
$1,899.63 $1,899.63
$0.00
$1,899.63
Page 4 of 4
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: K_C Printed By: K_C
Print Date: 07/18/2005
AUG 03 2003 14:48 FR
TO 4834966
P.01iO3
PERMIT APPLICATION WORK SHEET
C[� n ri�KA ALLEY COMMUNITY DEVELOPMENT
`' 11 1 BUILDING DIVISION
7East Sprague Ave Sts 106
pokane Valley, WA 99206
Phren. 09)688-0036 Fax: (509 - s 137
'sw
STREET ADDRESS: 1 L-� `5�
ASSESSOR'S TAX PARCEL. NUJIABER(S):
LEGAL DISCRIPTION: l% Z (k 23'5-cr-'rkP t Fs(' e.4
PERMIT DESCRIPTION-:
13DING PEP.MIT CHANGE IN USE • ®-GRADING
RELOCATION
D SIGN DANToTHER
MANUFACTCRED RoM
® OWNER: 1,4A) Z%'c 6 0C2
PHONE: L-1 x-73 > Z. FAX: UF3' --i- L:�sc
ADDRESS ' i.-1 C" 2Z "AAv -4L-SIJ ADDRESS
se-,,,,,:-- l ,STATE, ZIP CITY, STATE. ZIP
Q �� Z Q
CONTRACTOR: ' C- - Or; c.)Cri *}5 - I A -c . ARCHI i tC i.:
PHONE i %(c7,` 3 Z FAX: C--, - (-i:4;(,,, PHONE FAX
ADDRESS: A-) 5 IC' C1---.)-7_.:cI;LP_ SOCE'i9,7 ADDRESS:
l l,+f - u2i 7 CiTY,,STATE,ZIP CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE ! /v 7r c- 0-77.CS�
C3 APPLICANT:
PHONE
FAX:
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: 30% SLOPES ON PROPERTY: MAIN FLOOR SQ FT: 13 C0
BUILDING HEIGHTTO PEAK: ici OCCUPANCY GROUP:0
2ND FLOOR SQ FT:
BUILDING DIMENSIONS: (-2'1 x 4 9 CONSTRUCTION TYPE: UNFRN BASEMENT: (3 Or)
NUMBER OF STORIES: 1 STRUCTURES ON PROPERTY: FINISHED BASEMENT:
NUMBER of BEDROOMS:
DATE:
METHOD OFPAYMENT:
STAFF:
aEla
CASH CHECK
r✓
CRITICALAREAS: �J� GARAGE: • 6 Ih-P
BANIKCARV
14=1 1
EXPIRES:: VINO
AUTHORIZED SIGNATURE
Kane "
Valley
• • ‘1.1.4.4 G, to, lo4l yoZr•A•Troira Imam
Spokane Valley, WA 99206 509 -686,0037 -Fax
Plumbing Permit Application
Ginimmem.
ADDRESS
PHONE (Daytime Contact):
(street) \j. (city/stare)
GARBAGE DL
WATER SOFfENER
10 ELECT. ROT WATER TANK
FLOOR DRAINS
FOUNTAINS DRINKING
AT! P/PINGJDRAIN.IN ALLATI N, AL RATION. REF'AIR,
11111
nlmwAL
SEWAGE- CTOR CRN.SU
WATER USING DEVIa
VA 071[1761( BRLJR. QE VALVE,. AND
IRTHOD OP.PAYMENT
!Mom
3 ca.si c:mEcx Min
ATE:
AN KCALD NUMBER:
LITHORIZED SIGNATURE:
SUBTOTAL:
PLUS PROCESSING FEE:
TOTAL FERMITME DUE:
** TOTAL PAGE.. CE13
7.0"nevaey
Mechanical Permit Application
_„ ��,v ague r venue SLute Z06
Spokane Valley, WA 99206
Y69-688-0036 - Phone
509-688-0037 - Fax
1
PROJECT
ADDRESS: e- 1 L1 s c3 C r-Ct,C././1J
DESCUPTIONOFWO=
?ERNffT
USE
JCIFurrrg
OWNU:GAA=-z: _ G rcrite
rtiC.
EQUALS AMOUNT
PHONED
C .
MAILING ADDRESS:
_ S 5-10 C res T -..i A,
1
— tA--kA -
ef77 Z % -7
(street)
2
FUEL ELTRNING APPRSANCS
(Zip)
CONTRACTOR
G.4,1; .mac . C - [.
`; L--�S TA.; G:
1 -NSE t:
-17
MAILING ADDRESS -•
/1-1 S-10 C c 2S ; G I tie_
5 .^
L
PHONE
Zq ---c
S52
4
Z t�
(ate)
(city/state)
X
(Z]P}
METHOD OF PA
Q
DESCUPTIONOFWO=
JCIFurrrg
A
COST
EQUALS AMOUNT
1
FUEL BURNING APPLIANCE
. OR c 100400
1
X
525
" - t 5
2
FUEL ELTRNING APPRSANCS
> 100000
X
219
3
=MID AttuANc(ADDi1IOsAL356?
-OR<r00400
X
S52
4
MASTED APPLIANCE (ADDITIONAL PEE)
>400.020
X
51 L
.
s
USED (W5ECmitt AEU5satingy
.or<(00„000
X
990
-
6
135E D APTI3J 4O (WSECmin. AF[IEnsfng}
> 408000
X
3100
-
7
BORIDDREFEIGERATION
1- ECU ETD
X
415
•
8 BOLERDIEFRLCERATTON
101.5 18TU
X
5:11
1 •
9 E�T20N
`:Qi -1.000M Batt
X
539
-
10 �TE3TN
-1001- L7 1M fftiT
X
557
71E01 ER/ IGERATION
.175DM E SIJ
x
sss
-
12
GAS LAC GAS PNSEILT: GAS FIR!MACS
-
/
X
I 510
tQ
u
RANGE
-
X
510
-
4
DRYER
-
X
510
15
FUEL BURNMG WATER HEATER
-
(
X
0
-
10
16
MBC PUEL BURNING APP(.
-
X
510
-
17
GAS PPPIING (m Oariee}
3
X
IB
DUCCSYSr 3
-
J
x
s10
i C
19
VENi1I. ATINGFA1 $S
-
c{+
X
SID
-
I Lao
2D
AIR HANDLER (DOES Nat • dame
- OR < 20.O00GM
X
512
-
Z
ADI HAlNLSLER (D065 Nt7T h+dadr dveag)
r
> 14000 CrM
X
519
=
=
EVAPORAi1VECDOLEES
-
X
510
Z3
ram I HOOD
-
X
550
-
14
TYPE II HC}OD
-
X
510
-
2s xEAT?I MPtAIRCDNOrIIONfiR
d3TON
X
1.276 AIR CON 6R
1-15 TON
X
+�
2ADiCONDITIONER
15- TON L
X
SIS
A!R 4CXND2T�NER
3C.6oTDN
X
535
-
29 Alt CONDEMNER
- 0 TON
X
350
-
30 L.PCSTORACE TANK
-
X
510
-
31 WOOD ORPELICst57OVERNSERT
-
X
SL0
2 YVODO�SOV6-r88ESTANDiNG
X
525
-
1
rr
-
StT TOTAL;
'g
PLUS PROCESSING FEB
535.00
TOTAL PERMIT FEE Dtt 1 7,3 "-
CASH COCK C1
DATE EXPIRES:
BANKCLSRD NUNEFA:
AUTHORIZED SIGNATURE
SWALES WERE CONSTRUCTED ALONG THE ENTIRE LENGTH OF THE ROAD,
ALONG ALL LOT FRONTAGES. THESE SWALES SHALL REMAIN UNDISTURBED
AND MAINTAINED BY THE HOME CONTRACTOR AND HOME OWNER.
ADDRESS
ZONE
ROAD WIDTH
FRONT . 712.S -F' mapiI
COMMENTS
REVIEWED BY
This site plan is being submitted for the 79)Os
obtaining a building permit and is���
representation of the a true and opsgct
Tines/dimensions, curb lins,structures and a Pope
n known
have been id; ntified. Also in ments
bodies of , -i- ; led are lands,
Signed: ✓ .� fas.
Date:
14503 E. CROWN AVE.
1 /
LOT 2, BLOCK 28
SUMMERFIELD EAST
SIXTH ADDITION
SCALE:
]I
=30'
l
USKH
Engineering • Land Surveying
Planning • Materials Testing
1220 N. HOWARD ST.
SPOKANE, WA 99201
PHONE (509) 328-5139
FAX (509) 328-0423
101 THAIN ROAD
LEWISTON, ID 83501
PHONE (208) 746-2661
FAX (208) 746-8825